Ota Dental Corp
NPI #1043559453 in Yucaipa, California
Provider Information
- NPI Number
- 1043559453
- Entity Type
- Organization
- Organization Name
- Ota Dental Corp
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Feb 5, 2013
- Last Updated
- Feb 5, 2013
Practice Location
- Address
- 11834 BRYANT ST
- Address 2
- #103
- City
- Yucaipa
- State
- California
- ZIP Code
- 92399-3815
- Phone
- (909) 797-8090
Authorized Official
- Name
- LORA C OTA, DDS
- Title
- OWNER
- Phone
- (909) 797-8090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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